Organization
LAZARO JAVIER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAZARO ESGUERRA JAVIER MD (DOCTOR)
(810) 648-3444
Entity
Organization
Contact information
Practice address
255 WORTH ST, SANDUSKY, MI 48471-1236
(810) 648-3444
(810) 648-3102
Mailing address
255 WORTH ST, SANDUSKY, MI 48471-1236
(810) 648-3444
(810) 648-3102
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
LJ048712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0761510
BLUE CROSS
MI
05
—
1657969
—
MI
Enumeration date
05/10/2010
Last updated
01/24/2017
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